Timothy D. Jordan, Md, Pllc

NPI #1043381320 in Raleigh, North Carolina

Provider Information

NPI Number: 1043381320
Entity Type: Organization
Organization Name: Timothy D. Jordan, Md, Pllc
Primary Specialty: Ophthalmology
Enumeration Date: Nov 10, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 2709 BLUE RIDGE RD
Address 2: SUITE 100
City: Raleigh
State: North Carolina
ZIP Code: 27607-6462
Phone: (919) 782-5400

Authorized Official

Name: TIMOTHY D JORDAN, MD
Title: MEMBER
Phone: (919) 782-5400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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